Individual
GREGORY GARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1001 MAIN ST STE 400, PEORIA, IL 61606-2036
(309) 308-0900
(309) 308-0930
Mailing address
1001 MAIN ST STE 400, PEORIA, IL 61606-2036
(309) 308-0900
(309) 308-0930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.013233
IL
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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